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Oregon rates for MS-DRG 176

Complicated Peptic Ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,062.50 / $19,167.09 / $23,143.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,916.00 / $17,307.50 / $29,708.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,566.74 / $16,537.50 / $20,078.58
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,169.71 / $14,648.70 / $19,531.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,291.20 / $17,715.38 / $26,532.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,341.91 / $15,719.85 / $20,249.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $15,781.22 / $22,733.20